Persepsi dan perilaku ibu hamil dalam melakukan antenatal care (anc) pada masa pandemi covid-19 di kabupaten tabanan : Perception and behavior of pregnant women in antenatal care (anc) visits during the covid-19 pandemic in tabanan regency

Ni Wayan Sutarmi; DA Mirah Ardrini; Dyah Pradnyaparamita  Duarsa; Desak Putu Yuli  Kurniati

doi:10.36376/bmj.v8i4.217

Authors

Ni Wayan Sutarmi Universitas Udayana
DA Mirah Ardrini Universitas Udayana
Dyah Pradnyaparamita Duarsa Universitas Udayana
Desak Putu Yuli Kurniati Universitas Udayana

DOI:

https://doi.org/10.36376/bmj.v8i4.217

Keywords:

perception, ANC, pregnancy, Covid-19

Abstract

In Indonesia, the number of Covid-19 cases in pregnant women is 3.9% and the prevalence of morbidity and mortality of pregnant women with Covid-19 is still unknown. However, several studies have shown that pregnant women may be very susceptible to Covid-19 infection so that it does little to cause fear and anxiety in pregnant women. Perceptions and behaviors of pregnant women need to be explored to see how health behavior is in making decisions for ANC visits. This study uses a qualitative method with an exploratory approach. Primary data were obtained through in-depth interviews with 12 pregnant women. The informants were pregnant women in Tabanan Regency who experienced an increase in the number of ANC visits at the Puskesmas. Data collection was carried out during January-February 2021. The data were analyzed thematically and presented using a narrative approach. Knowledge of pregnant women about the benefits of ANC and how to spread Covid-19 plays a very important role in the attitude of pregnant women in carrying out ANC. Adaptations in the application of health protocols continue to be carried out, this is because they feel vulnerable to being exposed to Covid-19. The feeling of fear and anxiety they felt did not stop them from doing ANC during the pandemic. The perception of severity is felt because of the experience of previous pregnancies, but the support and motivation makes pregnant women feel more able to avoid feelings of anxiety. ANC behavior of pregnant women can be seen in the selection of ANC locations that are felt to be safe and not crowded, such as Puskesmas and midwives. This study reveals that the anxiety of pregnant women during the Covid-10 pandemic can lead to levels of depression and anxiety if left untreated. There is a need for psychosocial support and information through online media for pregnant women during the Covid-19 pandemic.

Keywords: perception, pregnant women, ANC, Covid-19

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References

Aritonang, J., Nugraeny, L., Sumiatik, & Siregar, R. N. (2020). Peningkatan Pemahaman Kesehatan pada Ibu hamil dalam Upaya Pencegahan COVID-19. Jurnal SOLMA, 9(2), 261–269. https://doi.org/10.22236/solma.v9i2.5522

Carolan, M., & Cassar, L. (2010). Antenatal care perceptions of pregnant African women attending maternity services in Melbourne, Australia. Midwifery, 26(2), 189–201. https://doi.org/10.1016/j.midw.2008.03.005

Chaerunnisa, Darmawansyah, & Nurhayani. (2015). Hubungan Perilaku Ibu Hamil TErhadap PEmanfaatan PElayanan ANC di Puskesmas Mamajang Kota Makassar di tahun 2014.

Chen, H., Guo, J., Wang, C., Luo, F., Yu, X., Zhang, W., … Zhang, Y. (2020). Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: a retrospective review of medical records. The Lancet, 395(1), 809–815.

Dinas Kesehatan Kabupaten Tabanan. (2020). Data Kunjungan ANC di Puskesmas Kabupaten Tabanan.

Dinas Kesehatan Provinsi Bali. (2020). Pertemuan Virtual Validasi Data Program Kesga Dalam Masa Pandemi Covid-19.

Durankuş, F., & Aksu, E. (2020). Effects of the COVID-19 pandemic on anxiety and depressive symptoms in pregnant women: a preliminary study. Journal of Maternal-Fetal and Neonatal Medicine, 0(0), 1–7. https://doi.org/10.1080/14767058.2020.1763946

Gugus Tugas Percepatan Penanganan COVID-19. (2020). Protokol Petunjuk Praktis Layanan Kesehatan Ibu dan Bayi Baru Lahir Selama Pandemi COVID-19. Protokol Gugus Tugas Percepatan Penanganan Covid-19 Ri, 4(April), 1–11.

HOGSI. (2020). Pelayanan Ante, Intra, dan Postpartum di FKTP Pada Era COVID-19.

Jusniany, M., Mutahar, R., & Utama, F. (2016). DETERMINAN PEMANFAATAN PELAYANAN ANTENATAL YANG ADEKUAT DI INDONESIA ( ANALISIS DATA SDKI 2012 ) DETERMINANTS OF UTILIZATION OF ANTENATAL CARE SERVICES IN INDONESIA ( DATA ANALYSIS IDHS 2012 ) PENDAHULUAN Indonesia negara berkembang dengan kematian ibu ma. Jurnal Ilmu Kesehatan Masyarakat, 7(3), 174–181.

Kemenkes. (2020). Selama Social Distancing. Pedoman Bagi Ibu Hamil , Ibu Nifas Dan Bayi Baru Lahir Selama Covid-19, Kemenkes. (2020). Selama Social Distancing. Pedoma.

Kementerian Kesehatan RI. (2020). Pedoman pelayanan antenatal, persalinan, nifas, dan bayi baru lahir di Era Adaptasi Kebiasaan Baru.

Liu, H., Wang, L. L., Zhao, S. J., Kwak-Kim, J., Mor, G., & Liao, A. H. (2020). Why are pregnant women susceptible to COVID-19? An immunological viewpoint. Journal of Reproductive Immunology, 139(February), 103122. https://doi.org/10.1016/j.jri.2020.103122

Lumempouw, V., Kundre, R., & Bataha, Y. (2016). Hubungan Faktor Sosial Ekonomi Ibu Hamil Dengan Keteraturan Pemeriksaan Antental Care (Anc) Di Puskesmas Ranotana Weru Kecamatan Wanea Kota Manado. Jurnal Keperawatan UNSRAT, 4(2), 107657.

Megawati, E., Widjanarko, B., & Nugraha, P. (2018). Faktor-faktor yang Berhubungan dengan Pemanfaatan Pos Kesehatan Desa di Wilayah Kerja Puskesmas Apana Timur. PROMOTIF: Jurnal Kesehatan Masyarakat, 8(1), 38–46.

Meo, M. L. N. (2019). Persepsi ibu terkait pemanfaatan pelayanan ANC di Kota Kupang. Jurnal Kesehatan Reproduksi, 9(2), 79–86. https://doi.org/10.22435/kespro.v9i2.935.79-86

Mor, G., Aldo, P., & Alvero, A. B. (2017). The unique immunological and microbial aspects of pregnancy. Nature Reviews Immunology, 17(8), 469–482. https://doi.org/10.1038/nri.2017.64

Nisma, Sundari, & Gobel, F. A. (2021). Pengaruh Pengetahuan dan Sikap Terhadap Kepatuhan Ibu Hamil Dalam Pemeriksaan ANC Pada Masa Pandemi di Poskesdes Bungadidi Kec. Tana Lili. Journal of Muslim Community Health (JMCH), 2(1), 108–120.

Notoatmodjo, S. (2012). Promosi Kesehatan dan Perilaku Kesehatan (1st ed.). Jakarta: Rineka Cipta.

Nugrahani, R. R., Budihastuti, U. R., & Pamungakasari, E. P. (2017). Health Belief Model on the Factors Associated With the Use of Hpv Vaccine for the Prevention of Cervical Cancer Among Women in Kediri, East Java. Journal of Epidemiology and Public Health 1, 2, 70–81. https://doi.org/10.26911/theicph.2017.009

Nurul S, P. A. (2013). Faktor-Faktor Yang Berhubungan Dengan Kejadian Anemia Pada Ibu Hamil Di Puskesmas Kecamatan Palmerah Kota Administrasi Jakarta Barat Tahun 2013. Jurnal Ilmiah Kesehatan, 6(1), 15–18.

Pieter, H. Z. (2010). Pengantar psikologi untuk kebidanan. Jakarta: Prenada Media.

POGI. (2020). Rekomendasi Penanganan Infeksi Virus Corona (Covid-19) Pada Maternal (Hamil, Bersalin Dan Nifas). Penanganan Infeksi Virus Corona Pada Maternal, 1(3), 9–11.

Raeshita, D. (2020). Determinan Pemanfaatan Pelayanan Antenatal Care oleh Ibu Hamil di Puskesmas Berastagi Kabupaten Karo. Jurnal Kesehatan Global, 3(2), 47–54.

Riani, M. (2020). Dampak pandemi COVID-19 global : ada tambahan 15 juta kehamilan yang tak direncanakan , apa risikonya ?

Rofi’ah, S., Widatiningsih, S., & Chunaeni, S. (2020). Optimalisasi Kelas Ibu Hamil Sebagai Upaya Peningkatan Kesehatan Masa Kehamilan. Link, 16(1), 42–48. https://doi.org/10.31983/link.v16i1.5700

Rofiasari, L., Noprianty, R., Yusita, I., Mulyani, Y., & Suryanah, A. (2020). Assistance for Pregnant Women Class in Providing Antenatal Care Motivation as an Effort to Improve Maternal and Fetal Health in the Pandemic Covid-19. Jurnal Peduli Masyarakat, 2(4), 197–204. https://doi.org/10.37287/jpm.v2i4.251

Susanti, U., Misrawati, & Utomo, W. (2012). Hubungan Persepsi Ibu Hamil Tentang Kehamilan dengan Tingkat Kecerdasan Emosional. Jurnal Ners Indonesia, 2, 2.

Tantona, M. D. (2020). Gangguan Kecemasan pada Wanita Hamil di saat Pandemi Covid-19. Jurnal Penelitian Perawat Profesional, 1(4), 89–94.

WHO/UNICEF. (2020). Pelayanan Kesehatan Berbasis Komunitas, termasuk Penjangkauan dan Kampanye dalam Konteks Pandemi COVID-19.

WHO. (2020). Anjuran mengenai penggunaan masker dalam konteks COVID-19. World Health Organization, (Juni), 1–17.

Wong, S. F., Chow, K. M., Leung, T. N., Ng, W. F., Ng, T. K., Shek, C. C., … Tan, P. Y. H. (2004). Pregnancy and perinatal outcomes of women with severe acute respiratory syndrome. American Journal of Obstetrics and Gynecology, 191(1), 292–297. https://doi.org/10.1016/j.ajog.2003.11.019

Zhu, H., Wang, L., Fang, C., Peng, S., Zhang, L., Chang, G., … Zhou, W. (2020). Clinical analysis of 10 neonates born to mothers with 2019-nCoV pneumonia. Translational Pediatrics, 9(1), 51–60. https://doi.org/10.21037/tp.2020.02.06

BMJ

Perception and behavior of pregnant women in antenatal care (anc) visits during the covid-19 pandemic in tabanan regency